DR. Keith Lewis Fabrique, MD

NPI #1225196710 in Decatur, Illinois

Provider Information

NPI Number
1225196710
Entity Type
Individual
Name
DR. Keith Lewis Fabrique, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Preventive Medicine - Occupational Medicine
Credential
MD
Enumeration Date
Dec 5, 2006
Last Updated
Dec 29, 2021

Practice Location

Address
1750 E LAKE SHORE DR
Address 2
LOWER LEVEL
ZIP Code
62521
Phone
(217) 425-2732

Specialties & Taxonomy Codes

Specialty
Family Medicine
Preventive Medicine - Occupational MedicineOccupational Medicine

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